A Behavior and Social Change Communication Approach

1. Promoting HIV Prevention in Lesotho A behavior and social change communication approach Presented by: Carol Larivee Deputy Director, C-Change

4. Country Context THE DAYS MALARIA WORLD AIDS DAY WORLD BREASTFEEDING WEEK ANTI SMOKING DAY TB DAY WORLD HEALTH DAY

5. Concurrent Partnerships

8. Implication : Concurrency has threshold impacts on network connectivity Bicomponents in red Hubs and superspreaders are not required for network connectivity Slide from Dr. Martina Morris -- U. of Washington In largest component: In largest bicomponent: 2% 0 41% 5% 64% 15% 10% 1% Mean: 1.74 Mean: 1.80 Mean: 1.86 Largest components Mean: 1.68 Number of Concurrent Partners

9. Cultural Setting

10. “ Everything you discuss here is just the tip of the iceberg” Participant at Swaziland HIV/AIDS Partners’ Forum, 2008 Historical, political, economic processes, and contemporary trends Slide from Suzanne LeClerc-Madlala, U. of Kwa Zulu Natal

11. Southern African societies are traditionally polygamous, patrilineal and patrilocal Many norms and values rooted in these social arrangements persist and shape the assumptions, expectations and meanings that people bring to relationships. Suzanne LeClerc -- Madlala

12. Formative Research Soul City One Love Regional Campaign

15. Regional Messages

18. Lesotho

19. C-Change Partners in Lesotho

20. Annual New Infections

21. HIV Prevalence in Adults

22. HIV Prevalence by Marital Status

23. C-Change Formative Research in Lesotho

26. In Lesotho Silence & Secrecy as Respect Slide from Veronica Sigamoney, Social Surveys Secrecy Silence HIV/AIDS Sex, MCP HIV/AIDS Sex, MCP Shame Respect Social Norms Indirect Communication

27. Strategy